Medicare Enrolled
Dr. Alexander Majors, M.D.
Surgery of the Hand · Fresno, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Majors from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Majors
Dr. Alexander Majors is a surgery of the hand specialist in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Majors performed 2,949 Medicare services across 2,269 unique beneficiaries.
Between the years covered by Open Payments, Dr. Majors received a total of $320 from 6 pharmaceutical and/or device companies across 11 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery of the hand. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Majors is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 11% volume in CA
$320 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,949
Medicare services
Top 11% in CA for surgery of the hand
2,269
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~155 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
377 | $69 | $285 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
264 | $30 | $117 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
233 | $38 | $175 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
207 | $84 | $350 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
203 | $0 | $10 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
174 | $8 | $21 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
172 | $11 | $76 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
159 | $101 | $405 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
156 | $34 | $130 |
| Injection, methylprednisolone acetate, 40 mg | 130 | $6 | $22 |
| Incision of finger tendon sheath A surgical procedure to cut open the protective covering of a finger tendon. |
116 | $167 | $1,909 |
| Hand nerve release or relocation A surgical procedure to release or reposition a nerve in the hand. |
93 | $272 | $1,448 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
57 | $86 | $636 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
56 | $31 | $120 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
51 | $124 | $521 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
45 | $12 | $28 |
| Adult fiberglass short arm splint supplies Materials for creating a fiberglass splint for an adult's short arm. |
37 | $11 | $50 |
| Injection of carpal tunnel | 35 | $72 | $304 |
| Elbow nerve release or relocation A surgical procedure to free or reposition a nerve in the elbow area. This is done to relieve pressure or irritation on the nerve. |
35 | $426 | $1,874 |
| Nonremovable forearm to hand splint application A healthcare provider applies a rigid splint that extends from the forearm to the hand to immobilize and support the area. |
34 | $57 | $210 |
| MRI of arm without contrast An MRI scan of the arm that uses magnetic fields and radio waves to create detailed images of internal structures without the use of contrast dye. |
33 | $126 | $607 |
| CT scan of arm, without contrast A CT scan of the arm that uses X-rays to create detailed images of the arm's internal structures without the use of contrast dye. |
30 | $57 | $286 |
| Adult short arm fiberglass cast supplies Materials used to apply a short arm cast made of fiberglass for patients aged 11 and older. |
30 | $18 | $61 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
29 | $37 | $173 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
25 | $37 | $176 |
| Tendon relocation of forearm or wrist A surgical procedure to reposition a tendon in the forearm or wrist to restore proper function or alignment. |
25 | $270 | $1,942 |
| Wrist to finger joint removal Surgical removal of the bones forming the joints between the wrist and the fingers. |
25 | $683 | $3,000 |
| Elbow to finger cast application Application of a cast extending from the elbow to the fingers to immobilize the arm. |
22 | $74 | $273 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
18 | $97 | $344 |
| Palm connective tissue removal A surgical procedure to remove abnormal connective tissue from the palm of the hand. |
15 | $284 | $2,400 |
| Open incision of forearm or wrist tendon A surgical procedure to cut a tendon in the forearm or wrist through an open incision. |
14 | $183 | $1,371 |
| Palm connective tissue removal and finger release Surgical removal of abnormal connective tissue in the palm to release tension on the first finger. |
13 | $697 | $2,610 |
| Extensive removal of soft tissue growth, palm side of wrist This procedure involves the extensive surgical removal of a growth located in the soft tissue structures on the palm side of the wrist. |
12 | $509 | $2,360 |
| Removal of hand or finger muscle growth, less than 1.5 cm This procedure involves the surgical removal of a growth located in the muscle of the hand or finger that measures less than 1.5 centimeters. |
12 | $384 | $1,643 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
12 | $25 | $107 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2023 ↗$320
Total received (2018-2023)
Avg $64/year across 5 years
Bottom 29% in CA for surgery of the hand
6
Companies
11
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$320 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2023
$33
2022
$68
2021
$122
2019
$32
2018
$65
Payments by company (2023)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$19
Checkpoint Surgical, Inc
$15
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
AXOGEN
$122
Boston Scientific Corporation
$68
Anika Therapeutics, Inc.
$52
Zimmer Biomet Holdings, Inc.
$32
Endo Pharmaceuticals Inc.
$31
Checkpoint Surgical, Inc
$15
Top 3 companies account for 75.7% of all-time payments
Associated products mentioned in payments ›
Avance Nerve Graft · Checkpoint Stimulators · Comprehensive Humeral · GENERAL PAIN MANAGEMENT · General - Pain Management · SPECTRA WAVEWRITER · WaveWriter Alpha Prime 16 · WristMotion · XIAFLEX
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Surgery of the hands within 10 mi
4
Per 100K population
0.4
County median income
$71,434
Nearest hospital
SAINT AGNES MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2023 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Majors is a clinical cardiology specialist, with above-average Medicare volume (top 11% in CA), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Majors experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Majors performed 377 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Majors receive payments from pharmaceutical companies?
Yes. Dr. Majors received a total of $320 from 6 companies across 11 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Majors's costs compare to other surgery of the hands in Fresno?
Dr. Majors's average Medicare payment per service is $77. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Majors) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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